Mari Ann Keithahn in Columbia - Retina Specialist
Mari Ann Keithahn - NPI 1902880313
Mari Ann Keithahn is a Retina Specialist in Columbia, Missouri. Mari Ann Keithahn practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Mari Ann Keithahn is 1902880313. The last update date is 2021-06-29.
Mari Ann Keithahn's current location address is 105 N Keene St Ste 102, Columbia, Missouri. You can contact this provider via phone number 5737778738 and fax number 5737778739. The mailing address for Mari Ann Keithahn is 105 N Keene St Ste 102, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mari Ann Keithahn |
|---|---|
| Address | 105 N Keene St Ste 102, Columbia, Missouri |
| Phone Number | 5737778738 |
| Fax Number | 5737778739 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902880313 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2021-06-29 |
Provider Mailing Address Detail
| Address | 105 N Keene St Ste 102 |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652018131 |
| Phone Number | 5737778738 |
| Fax Number | 5737778739 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 111416 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101298 | MO | BLUE CROSS BLUE SHIELD | |
| 208468504 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mari Ann Keithahn by the Centers for Medicare & Medicaid Services (CMS)?
The Mari Ann Keithahn has been assigned the NPI (National Provider Identifier) 1902880313. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mari Ann Keithahn is physically located?
The Mari Ann Keithahn is physically situated at the following address: 105 N Keene St Ste 102, Columbia, MO, 652018131.
What is Mari Ann Keithahn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mari Ann Keithahn's specialized field of practice is Retina Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902880313 to Mari Ann Keithahn?
The Centers for Medicare & Medicaid Services assigned the 1902880313 to Mari Ann Keithahn on 2005-11-30.
When was the information regarding Mari Ann Keithahn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mari Ann Keithahn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-29.